Please enter pertinent medical conditions and/or allergies of which the camp staff should be aware:

Primary Parent/Guardian Name:
*

Email
*

(This is the address to which a Square Invoice will be sent for tuition payment)

Phone
*

Secondary Parent/Guardian name:

Email

Phone

Please read and agree to our terms below:

Campappella registration is on a first come, first served basis. A camper's submission of this form with a non-refundable payment of $200 for the week of 8/5 - 8/9 gurantees their reservation for Campappella 2019. Please remember, space is limited and spots fill fast!